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Individual

CATHERINE L VANEYCKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CADC, CDVP

Contact information

Practice address
514 MARKET LOOP, SUITE 104, WEST DUNDEE, IL 60118-2148
(630) 400-2506
Mailing address
5825 FARNHAM CT, HANOVER PARK, IL 60133-5305
(630) 400-2506

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2002 073
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
13338
IL
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
149.013391
IL

Other

Enumeration date
06/12/2009
Last updated
10/18/2011
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